Provider Demographics
NPI:1700863099
Name:ENGELHARDT, KARL E (DC)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:E
Last Name:ENGELHARDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 MAIN STREET
Mailing Address - Street 2:PO BOX 881
Mailing Address - City:UPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01568-0881
Mailing Address - Country:US
Mailing Address - Phone:508-529-2700
Mailing Address - Fax:508-529-2701
Practice Address - Street 1:62 MAIN ST
Practice Address - Street 2:
Practice Address - City:UPTON
Practice Address - State:MA
Practice Address - Zip Code:01568-1611
Practice Address - Country:US
Practice Address - Phone:508-529-2700
Practice Address - Fax:508-529-2701
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3323429OtherAETNA
MA469587OtherTUFTS
MA656321OtherUNITED HEALTH CARE
MA8959119-001OtherCIGNA
MAY36788OtherBCBS
MA352576OtherHARVARD PILGRIM
MA656321OtherUNITED HEALTH CARE